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Home My WebLink About2009-00359 - roofing . � CITY OF ORONO PERMIT NO.: 2009-00359 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 06/29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILD[NG-UNDEFINED VALUATION : $ 26,000.00 APPLICANT PERMIT FEE SCHEDULE 423J5 GEORGE, DEVEAN 1285 FRENCH CREEK DR STATE SURCHARGE(VALUATION) 13.00 WAYZATA, MN 55391- TOTAL 436.75 PAID WITH CASH 436.75 OWNER GEORGE, DEVEAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or relatcd work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requ�sted formance with the State Building Code.This permit may be voked any time for due cause. 1` \ �f l l l lC./ Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �_� Mailing Address: a�� i, Permit number: i�,0,�\�, PO Box 66 �� Q�\'`, Crystal Bay, MN 55323-0066 Date received: -z.s-O �z��::��,. 1' �a ,��'�'��,.-� s,�; Street Address: Received by: �'�n �}��`,,�, °/ 2750 Kelley Parkway Plan review fee: L`�.gESHo�`'�= Orono, MN 55356 —� Total Fee: � 1/��75 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �'" This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: JobSiteAddress: LZ � �r �Nc� �� .��- . �rv,-� ��r 5S?S { Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service �II required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: \��v cv-� G�.,- �Q State License# ` Expiration Date: Phone: (office) (cell) Mailing Address: _ City: ZIP� Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: J.- �Ec�ti (.�e�;�,w - Phone (day): b�z-Z�t�- ��j ` Address: _ �2�� =Y�N�� c�� ,�{_ Cit : ��c,-� � ZIP� SS 3`� j Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage � www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ _3y��J a� ��`; — APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they � are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information, the a lication ma not be issued. ApplicanYs Signature: ;. Date: �1�- `Zo�S Last Update�: 05-04-2009 �^� D� � DATE TIME V CITY OF ORONO CALLED IN � INSPECTION�N�^OTICE ��j�SCHEDULED PERMITNO.O�/��'dZ�wi COMPLETED ADDRESS �a-�.� %L��c LG� ��L'�� OWNER CONTR. TELEPHONE NO. �Y� �d��- ��/�—��5��✓ � � � DESCRIPTION � ❑ FOOTWG ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _�-FtNAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES�O � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � r W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on si : Inspector. White Copyllnspector's File Canary Copy/Site Notice